| Goldendale Dental Center Inc Pc | |
|
617 E Collins St Goldendale WA 98620-9213 | |
| (509) 773-5545 | |
| (509) 773-6718 |
| Full Name | Goldendale Dental Center Inc Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 617 E Collins St, Goldendale, Washington |
| Authorized Official Name and Position | Lyle E Ferch (OWNER/DENTIST) |
| Authorized Official Contact | 5097735545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldendale Dental Center Inc Pc 617 East Collins Dr Goldendale WA 98620 Ph: (509) 773-5545 | Goldendale Dental Center Inc Pc 617 E Collins St Goldendale WA 98620-9213 Ph: (509) 773-5545 |
| NPI Number | 1689696734 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689696734 | NPI | - | NPPES |
| 0105783 | Other | WA | L&I PROVIDER # |
| 5013024 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00006589 (Washington) | Primary |
David And Brenda Reimche-vu, Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Collins St, Goldendale, WA 98620 Phone: 509-773-5866 Fax: 509-773-4061 |